The dental PPO network includes nearly 52,000 providers in California, putting Blue Shield’s large DPPO network among the top five in the state; nationwide, our DPPO network numbers 350,000*. Our dental PPO plans provide employees with a wide range of benefits, including 100% coverage for diagnostic and preventive services from network participating dentists; in-network utilization is nearly 70%. We also offer DINO plans.
Our dental HMO network includes nearly 26,000 providers in California, the second largest in the state. For 2019, we’ve added a new DHMO Standard plan to better round out our offerings. Our four dental HMO plans complement our dental PPO plan portfolio. Employers can offer dental benefits for basic and major services with no wait periods, deductibles, or calendar-year maximums. The dental HMO plan portfolio helps simplify dental coverage for your clients by offering lean, middle, or rich benefit designs.
Groups with 101 or more eligible employees can select any Blue Shield dental plan with or without Blue Shield medical coverage.
Our improved bundling program now applies to groups of 101 up to 1,000! Your clients can save up to 1.75% on their medical rate by bundling dental, vision‡, and life insurance‡ with their medical benefits.
Offer your clients the best of both worlds – dental and vision‡ – with one plan! This affordable 100% employer paid option includes basic dental benefits which include coverage for diagnostic and preventive services. Vision coverage includes an annual eye exam, diabetes management, optometric and ophthalmologic visits. (Please note this plan is not eligible for the Benefit Solutions discount program.)
We’re also pleased to introduce a Diagnostic & Preventive plan – ideal for your clients looking to introduce preventive dental care to employees. These new plans give your clients more options when selecting a dental plan. To see the full details of each of our new plans, check out our Plan Comparison tool.
Members can get more from select DPPO dental plans with our Diagnostic and Preventive Care waiver program. Diagnostic and preventive claims that would have gone against the calendar-year maximum are waived so employees get more from their plan. This waiver program encourages employees to seek preventive care and address small problems before they become big ones. Learn more.
Dental Smile Rollover Rewards is another new with select DPPO plans. Members are rewarded for visiting the dentist at least once a year. As long as the annual paid dental claims are below the claim threshold, the member receives a reward. And if members see a dentist in the PPO network versus a non-network dentist, the members receive an additional boost to their rewards amount. The reward amount is based on the dental plan’s calendar-year maximum and the programs annual claims threshold for the plan. Any rewards earned will roll over in the form of calendar-year maximum funds and raise the member’s calendar-year maximum for the benefit year. Learn more.
Plans with orthodontic coverage include a $1,000 calendar-year maximum for children and adults. Our orthodontic plans also offer an allowance for Invisalign and clear braces. The member simply pays the difference between the cost of the clear braces and what is paid for traditional orthodontc treatment (braces).
Covered as major services. Dental implants FAQ flier
Additional benefits for children to help prevent or treat tooth decay.
All dental HMO and PPO plans include an oral cancer screening benefit covered at 100%. Oral cancer can hide below the surface, and early detection greatly improves success of treatment.
Periodontal treatment during pregnancy may reduce premature births. That’s why we provide one additional cleaning for pregnant women in all dental PPO plans. A third periodontal maintenance visit is also covered, if needed, to treat periodontal disease.
Our dental plan member portal provides easy access to benefit and coverage information, claims payment and status updates, replacement of Blue Shield member ID cards and the ability to calculate treatment costs for pending services at yourdentalplan.com/bsca.
Help your clients see the value that dental coverage can bring them. Share the infographic, Why You Need Group Dental Coverage.
Dental plan members have access to wellness program discounts to help them save on managing their health and well-being. Download the flier.
* Dental providers in and out of California are available through a contracted dental plan administrator.
‡ Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).
# Periodontal maintenance covered with a documented periodontal condition. Covers one course of periodontal scaling and root planning.
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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.